中华流行病学杂志最新文献

{"title":"[Interpretation of the key points of Regulation for Diagnosis and Treatment of Non-neonatal Tetanus (2024 Edition)].","authors":"S Liu, C Liu, J Y Liu, Q J Chen, X Kang, P Lan, Q S Xue, Z G Zhu, X J Lyu, W W Yin, C L Wang","doi":"10.3760/cma.j.cn112338-20241017-00640","DOIUrl":"10.3760/cma.j.cn112338-20241017-00640","url":null,"abstract":"<p><p>Non-neonatal tetanus is an acute, specific, toxic disease in patients over 28 days of age, characterized by continuous rigidity and paroxysmal spasms of the skeletal muscles throughout the body caused by the intrusion of Clostridium tetani through skin or mucosal membrane into the body and reproducing in anaerobic environments to produce exotoxins. The mortality rate of severe patients is close to 100% without medical intervention. Even with aggressive comprehensive treatment, the global mortality rate remains at 30%-50%, making it a potentially fatal disease. In order to standardize the diagnosis, treatment and prevention of non-neonatal tetanus, based on \"Regulation for Diagnosis and Treatment of Non-neonatal Tetanus (2019 Edition)\", experts have revised this regulation according to clinical practice and recent research progress in this field to guide medical institutions in the prevention and control of non-neonatal tetanus. This article interprets the key points and basis for updating the 2024 edition regulation to guide clinical implementation and application.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 ","pages":"1468-1476"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A cohort study of correlation between fasting plasma glucose trajectory and new-onset chronic kidney disease in elderly population in Nanjing].","authors":"C Q Zhang, Q Chen, X R Wu, X Hong, N Zhou","doi":"10.3760/cma.j.cn112338-20240510-00261","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240510-00261","url":null,"abstract":"<p><p><b>Objective:</b> To explore the correlation between fasting plasma glucose (FPG) trajectory and new-onset chronic kidney disease (CKD) in elderly population (≥65 years old) in Nanjing. <b>Methods:</b> The study cohort was composed of 14 763 subjects who met the inclusion criteria in the population in elderly health examination in Nanjing. Based on the FPG levels detected in health examination from 2018 to 2021 (logarithm was used for normal distribution), three different FPG trajectory groups were determined using the SAS Proc Traj program, i.e. low-stable group, medium-stable group, and high-stable group. The incidence of CKD in 2022 was analyzed, and log-rank test was performed to compare the differences of cumulative incidence of new-onset CKD among different trajectory groups. Cox proportional hazards regression model was used to analyze the correlation between different FPG trajectories and new-onset CKD. <b>Results:</b> The mean follow-up time was (416.09±81.96) days. The follow-up time of the 500^th day was selected to analyze the cumulative incidence rate of CKD in different FPG trajectory groups, and the cumulative incidence rate of CKD in the low-stable group, the medium-stable group, and the high-stable group of FPG increased with elevated trajectory, which was 15.3%, 21.8%, and 29.3%, respectively (log-rank test <i>χ</i>²=151.16, <i>P</i><0.001). Cox proportional hazards regression model analysis showed that compared with the low-stable group, the medium-stable group and the high-stable group were all at risk for new-onset CKD. After adjusting for multiple confounding factors, the analysis by Cox proportional hazards regression model 4 indicated that the risk for CKD in medium-stable and high-stable groups were still 1.676 (95%<i>CI</i>: 1.462-1.921) times and 2.007 (95%<i>CI</i>: 1.562-2.579) times higher than that in low-stable group. <b>Conclusions:</b> Elevated FPG change trajectory level is a risk factor for new-onset CKD, and persistently high level of FPG increase the risk for CKD. FPG should be monitored in elderly population by follow up, and individualized prevention and control measures for CKD should be developed for different trajectory groups.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1513-1519"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Relationship between body mass index and fat mass percentage in children aged 3-17 years in China].","authors":"H L Wang, P P Xu, W Cao, X H Pang, H Pan, T Xu, B W Chen, Y Y Wang, Z Y Yang, Q Zhang, W H Zhao","doi":"10.3760/cma.j.cn112338-20240514-00271","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240514-00271","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the relationship between body mass index (BMI) and fat mass percentage (FMP) in children aged 3-17 years in China. <b>Methods:</b> The BMI and FMP data of children aged 3-17 years from the National Nutrition and Health Systematic Survey in 0-18 years old children in China was analyzed. BMI-<i>Z</i> score/BMI and FMP were used to classify the subjects, respectively. Spearman correlation was used to analyze the correlation between BMI and FMP. The consistency between BMI-<i>Z</i> score/BMI and FMP in classifying the subjects was measured using Kappa coefficient. <b>Results:</b> The FMP of malnutrition, normal and overweight/obesity in boys was higher in age group 10-13-year than in other age groups (all <i>P</i><0.001). The FMP of all nutritional status in girls increased with age (all <i>P</i><0.05). The BMI of boys in all the FMP levels increased with age (all <i>P</i><0.05). When the FMP of girls was 25%- or ≥30%, BMI increased with age (all <i>P</i><0.001). The relationship between BMI and FMP was strong (<i>r</i>=0.705, <i>P</i><0.001), with <i>r</i> of 0.618 in boys and 0.884 in girls. The consistency between BMI-<i>Z</i> score/BMI and FMP in classifying the subjects was found to be moderate (Kappa=0.574, <i>P</i><0.001). <b>Conclusions:</b> There was a strong relationship between BMI and FMP. The consistency between BMI-<i>Z</i> score/BMI and FMP in classifying the subjects was moderate.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1501-1506"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Epidemiological characteristics and spatiotemporal clustering of hepatitis A in China, 2005-2023].","authors":"Y X Xiu, L Tang, Q Q Liu, X Q Wang, S Y Liu, H Yang, N Wen, Z D Yin, F Z Wang","doi":"10.3760/cma.j.cn112338-20240410-00184","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240410-00184","url":null,"abstract":"<p><p><b>Objective:</b> To analyze epidemiological characteristics and spatiotemporal clustering of hepatitis A in China from 2005 to 2023. <b>Methods:</b> The incidence data of hepatitis A in China during 2005-2023 were collected from the China Disease Control and Prevention Information System . <b>Results:</b> From 2005 to 2023, a total of 605 509 cases of hepatitis A were reported in China. The average annual reported incidence rate was 2.32/100 000, the incidence was 2.85/100 000 in men and 1.81/100 000 in women, and the incidence was 3.25/100 000 in age group 0-14 years, 2.10/100 000 in age group 15-64 years and 2.49/100 000 in age group ≥65 years , respectively. The case count in farmers was highest (40.57%, 245 639/605 509). The proportion of the cases in jobless or the unemployed increased most obviously (347.32%), and the proportion of the cases in students decreased most significantly (90.27%). The average annual reported incidence rate in the western China was highest (4.45/100 000), followed by that in northeastern China (2.02/100 000), central China (1.89/100 000) and eastern China (1.16/100 000). From 2020 to 2023, the incidence of hepatitis A showed no spatial clustering. From 2005 to 2019, the obvious hot spots and high-high clustering areas mainly distributed in provinces, such as, Sichuan, Qinghai, Xinjiang, Xizang and Gansu. The low-low clustering areas were mainly distributed in Beijing, Tianjin, Hebei, Shandong, Jiangsu, Shanghai, Zhejiang, Fujian, Henan, Anhui, Jiangxi, Jilin and Liaoning. An independent high-low clustering was found in Shanxi during 2014-2019. A total of 5 high incidence clustering areas were detected through spatiotemporal scanning analysis. <b>Conclusions:</b> The incidence rate of hepatitis A in China declined significantly from 2005 to 2023. The reported incidence rate in the elderly showed no obvious decrease, and the reported cases accounted for the highest proportion in the whole population. Before 2020, the reported incidence rate of hepatitis A showed high-high clustering in western China, the spatiotemporal clustering disappeared from 2020 to 2023, but the reported incidence rate of hepatitis A in western China was still high. It is suggested to pay attention to the prevention and control of hepatitis A in populations at high risk and areas with high incidence of hepatitis A.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1528-1536"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Etiological characteristics of <i>Brucella melitensis</i> in Henan Province, 2013-2022].","authors":"J Y Zhao, W R Song, B F Zhang, Y X Hu, Y F Li, J J Pan, H F Wang, W S Guo, X Y Huang, Y Ye","doi":"10.3760/cma.j.cn112338-20240507-00244","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240507-00244","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the genus, drug resistance/virulence and phylogenetic characteristics of <i>Brucella</i> strains isolated from brucellosis surveillance sentinels in Henan Province from 2013 to 2022, and provide baseline data for the surveillance, early warning and outbreak tracing of brucellosis. <b>Methods:</b> Blood samples were collected from patients with <i>Brucella</i> infection for strain isolation, culture and species identification, drug susceptibility test, whole genome sequencing, splicing and assembly, functional/virulence/resistance gene prediction analysis and phylogenetic tree drawing based on single nucleotide polymorphism (SNP). <b>Results:</b> In 36 brucellosis patients, the majority were men (86.11%, 31/36), young adults aged 18-50 (88.89%, 32/36) and farmers/herdsmen (72.22%, 26/36). A total of 36 strains of <i>Brucella melitensis</i> were isolated, and average 1 305 functional proteins of 21 categories were predicted by strain genome; all the strains carried four main virulence factors (pmm, VirB group, BtpA/BtpB, BvrS/BvrR). The drug sensitivity rate was 100.00% to six types of antibiotics including levofloxacin, rifampicin, doxycycline, streptomycin, tetracycline and gentamicin, they showed different resistances to three antibiotics including compound trimethoprim-sulfamethoxazole, ciprofloxacin and ampicillin. The strains carried four types of resistance genes and two clusters of resistance genes, with four combinations of genotypes, the resistance mechanisms included antibiotic degradation/modification enzymes, resistant nodular cell differentiation (RND) efflux pumps, 16S/23S ribosomal rRNA binding site mutations, <i>etc</i>. The number of SNP differed in the genomes of 36 <i>Brucella</i> <i>melitensis</i> strains ranged from 0 to 454 and phylogenetic tree was divided into three major branches, with relative branch distances between 0.000 0 and 0.498 6 for each strain. <b>Conclusions:</b> Human <i>Brucella</i> <i>melitensis</i> strains isolated from surveillance sentinels in Henan from 2013 to 2022 carried multiple virulence and antibiotic resistance genes and had different drug resistance phenotypes. Single nucleotide polymorphism analysis and phylogenetic tree analysis showed significant differences in phylogenetic relationships among different strains.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1559-1565"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Construction of data source indicator system for acute respiratory infectious disease surveillance based on the Delphi method].","authors":"Y Y Wang, D Z Huo, Z J Li, C C Ye, L P Hao, W Z Yang","doi":"10.3760/cma.j.cn112338-20240625-00372","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240625-00372","url":null,"abstract":"<p><p><b>Objective:</b> To establish an indicator system for surveillance of data sources to provide a theoretical basis for respiratory infectious disease surveillance and early warning. <b>Methods:</b> Indicators for data sources in the surveillance of acute respiratory infectious diseases were initially compiled through a literature search. Subsequently, two rounds of expert consultations were conducted with 22 experts using the Delphi method to refine the indicators. <b>Results:</b> The questionnaire recovery rates for the two rounds of expert consultation were 100.00% and 86.36%, respectively. The authority coefficient of the experts was 0.83. The coordination coefficient of the second round of Delphi expert consultation was 0.32, and the coefficient of variation of each indicator was less than 0.25. Finally, the indicators system of data source for the surveillance of acute respiratory infectious diseases includes 4 first-level indicators, 10 second-level indicators, and 26 third-level indicators. <b>Conclusion:</b> The indicator system of data sources for the surveillance of acute respiratory infectious diseases constructed in this study is reasonable and reliable, providing a valuable reference for surveillance, early warning and policy formulation of acute respiratory infectious diseases.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1605-1610"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Current and predicted disease burden in middle aged and elderly population aged 55 years and above in Shenzhen, 2016-2030].","authors":"J Y Xi, R Q Ming, Y J Wang, Y B Fu, Z Zhang, J Zhang, J J Bai, Y N Xiang, X Lin, J Gu, Y T Hao, G Liu","doi":"10.3760/cma.j.cn112338-20240606-00334","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240606-00334","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the disease burden in middle-aged and elderly population aged ≥55 in Shenzhen from 2016 to 2030 and provide evidence for the development of healthy aging strategies. <b>Methods:</b> The years of life lost (YLL), years lost due to disability (YLD), and the disability-adjusted life year (DALY) in this population from 2016 to 2022 were calculated. Joinpoint log-linear regression model was used to analyze the time trend. Bayesian age-period-cohort model and grey system model were used to predict YLL, YLD, and DALY in this population in 2030. <b>Results:</b> From 2016 to 2022, the crude DALY rate showed a transient fluctuation in age group 55-74 years, but a pronounced increase in age group ≥85 years. The proportions of YLL and YLD due to non-communicable diseases in all age groups was considerably higher than those due to communicable and nutritional diseases and injuries. In 2022, in all age groups, the YLL due to neoplasms (55-74 years old) and cardiovascular disease (≥75 years old) ranked first, and the YLD due to musculoskeletal disorder ranked first. By 2030, the causes of YLL and YLD ranking first in each age group would be remained, while the ranks of some causes would increase. <b>Conclusions:</b> The age specific characteristics of current and predicted disease burden differed in individuals aged ≥55 years. Therefore, it is necessary to allocate social and medical resources according to the disease burden pattern.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1550-1558"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Epidemiological and clinical characteristics of respiratory syncytial virus infections in children in Jiangsu Province, 2014-2023].","authors":"W X Gu, K Xu, S J Wang, F Deng, Q G Dai, X Zou, Q X Shang, L L Chen, Y Xia, W J Dai, J Zha, S N Ding, M He, C C Bao","doi":"10.3760/cma.j.cn112338-20240508-00251","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240508-00251","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the epidemiological and clinical characteristics of respiratory syncytial virus (RSV) infection in children in Jiangsu Province from 2014 to 2023. <b>Methods:</b> The acute respiratory infection cases in children aged 0-14 years were selected from outpatient/emergency or inpatient departments in 2 surveillance sentinel hospitals, respectively, in Nanjing, Suzhou and Taizhou of Jiangsu from 1 July 2014 to 31 December 2023, and RSV nucleic acid test was conducted and the intensity of the RSV infection was accessed by WHO influenza epidemiological threshold method, and case information and clinical data were collected. <i>χ</i>² test was used to compare the differences between groups, and the Bonferroni method was used for pairwise comparisons between groups. <b>Results:</b> In 4 946 cases of acute respiratory infections, the RSV positive rate was 8.21% (406/4 946), and the age <i>M</i>(<i>Q</i>₁,<i>Q</i>₃) of the cases was 1 (0, 3) years. The RSV positive rate was 10.92% (258/2 362) during 2014-2019 and 6.06% (118/1 948) during 2019-2023, the difference was significant (<i>χ</i>²=31.74, <i>P</i><0.001). RSV infection mainly occurred from October to March during 2014-2019, with the incidence peak in December and moderate or higher intensity. The seasonality of RSV infection was not obvious during 2019-2023, with low intensity. The RSV positive rate was highest in children in age group 0- years (17.85%, 151/846), and the positive rate declined gradually with age (<i>χ</i>²=184.51, <i>P</i><0.001). The RSV positive rate was higher in inpatient cases (9.84%, 244/2 480) than in outpatient/emergency cases (6.57%, 162/2 466) (<i>χ</i>²=17.54, <i>P</i><0.001). In the 155 RSV infection cases with complete clinical data, the clinical symptoms mainly included cough (99.35%, 154/155), fever (55.48%, 86/155), and shortness of breath (45.16%, 70/155). In the cases aged <6 months, the proportion of those with fever was low, but the proportion of those with shortness of breath, transferred to intensive care units, and receiving oxygen therapy were higher (all <i>P</i><0.05). Children aged <6 months and those with underlying diseases were more likely to have severe RSV infection (all <i>P</i><0.05). <b>Conclusions:</b> RSV infection in children in Jiangsu Province showed seasonal prevalence in winter from 2014 to 2019. Since 2020, the seasonal characteristics of the epidemic have changed, the epidemic period has been dispersed and the epidemic intensity has decreased. Infants <1 year old were at high risk for RSV infection, and those <6 months old and with underlying diseases might have severe infection.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1537-1543"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Characteristics of fat mass distribution in children aged 3-17 years in China].","authors":"P P Xu, X H Pang, W Cao, W H Zhao, Z Y Yang, Y Y Wang, T Xu, B W Chen, J Xu, Q Zhang","doi":"10.3760/cma.j.cn112338-20240511-00262","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240511-00262","url":null,"abstract":"<p><p><b>Objective:</b> To describe the distribution of fat mass (FM), fat mass percentage (FMP), and fat mass index (FMI) in children aged 3-17 years in China. <b>Methods:</b> Data of this study were from the National Nutrition and Health Systematic Survey in 0-18 years old children in China. A total of 70 853 children aged 3-17 years old selected from seven regions of China were included in this analysis. Body composition were measured by using bioelectrical impedance meter. The region, gender and age specific FM, FMP and FMI of the subjects were described by using <i>M</i> (<i>Q</i>₁,<i>Q</i>₃). Kruskal-Wallis <i>H</i> rank sum test was used for the comparison of intergroup differences. DSCF method was used for pairwise comparisons. <b>Results:</b> The medians of FM, FMP and FMI were 3.0 kg, 18.3% and 2.9 kg/m² in boys aged 3 years and 2.9 kg, 19.0% and 2.9 kg/m² in girls aged 3 years, respectively. The FM increased with age and the FMP and FMI decreased with age in both boys and girls aged 3-5 years. After 11 years old, the FM, FMP and FMI decreased first and then increased in boys. From 6-17 years old, the FM, FMP and FMI increased gradually in girls. The FM, FMP and FMI were higher in girls than in boys after 12 years old (all <i>P</i><0.05). The FM, FMP and FMI were relatively higher in children at the age of 6-14 in northeastern and northern China than in other regions. <b>Conclusions:</b> The age specific FM, FMP and FMI had different changing characteristics in boys and girls aged 3-17 years in seven regions of China. The FM, FMP and FMI also differed with region.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1494-1500"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[An integrated curriculum for epidemiology and medical statistics teaching in undergraduate students majoring in clinical medicine: lesson learned from teaching reform].","authors":"Y J Pang, X Cong, C X Liao, W J Gao, C Q Yu, J Lyu, T Wu, S Y Zhan, L M Li","doi":"10.3760/cma.j.cn112338-20240626-00380","DOIUrl":"https://doi.org/10.3760/cma.j.cn112338-20240626-00380","url":null,"abstract":"<p><p>Epidemiology and medical statistics are essential courses for undergraduate students majoring in clinical medicine. By studying the two courses, they can obtain the core skills for their future clinical practice. High-level medical schools both at home and abroad have accumulated successful experiences in curriculum, teaching methods and teaching models of the two disciplines. These colleges have also carried out the exploration of the curriculum reform centering on \"organ systems integration\". This paper summarizes the current status of epidemiology and medical statistics teaching and curriculum integration in representative medical schools both at home and abroad, and puts forward suggestions for deepening teaching reform and optimizing the curriculum system to provide reference for the integration of epidemiology and medical statistics curriculums for undergraduate students majoring in clinical medicine in China.</p>","PeriodicalId":23968,"journal":{"name":"中华流行病学杂志","volume":"45 11","pages":"1598-1604"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}